Albert    Mayhan    RPT
Contract Details
PT Solutions of Wetumpka
Facility name
Provider ID
P000009307
NPI
1619421435
Tax ID
270202352
Effective Date
8/30/2010
Last Updated
7/3/2019
Direct Contract
Yes
Term Date
1/31/2019
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
6249 Highway 231
Wetumpka, AL 36092
United States
County
Elmore
Phone
3345140817 (Phone)
Billing Details
Address
6249 Highway 231
Wetumpka, AL 36092
Billing Phone
3345140817
Specialty Type
Physical Therapy
Map
Address